2-Contact Information.pdf
PDF 53 KB Posted
- Attached to
- Spray Patch Emulsion CRS-2 State and local contract opportunity
- Solicitation number
- SB-01-26
- Issued by
- Tyler County, Texas
About this file
This document is a Contact Information Form from the City of San Angelo, Texas Purchasing Division, located at 72 West College Avenue in San Angelo. The form is designed to collect detailed contact and vendor information for a solicitation, with sections for an Authorized Agent and Primary Contact. The document requires vendors to provide comprehensive details including names, titles, contact information, mailing and physical addresses, and mandates the attachment of a current IRS Form W-9.
The form emphasizes the need for a legally authorized representative who can fully bind the entity, which may include corporate officers, general partners, managing members of a limited liability company, or other individuals with written authorization. The City of San Angelo reserves the right to verify an individual's authority to act on behalf of their organization. The form is structured to capture essential vendor information for procurement purposes, ensuring clear communication channels and proper documentation for potential business transactions.
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Text version
CITY OF SAN ANGELO, TEXAS
PURCHASING DIVISION
72 West College Avenue, San Angelo, Texas 76903
325.657.4219 • sapurch@cosatx.us
CITY OF SAN ANGELO, TEXAS • CONTACT INFORMATION FORM
Contact Information
AUTHORIZED AGENT • PLEASE PRINT
An Authorized Agent for an entity pursuant to this solicitation is an individual duly authorized by the entity and having full capacity to bind the entity. Authorized Agent may include an Officer of a Corporation, a General Partner of a Partnership, a Managing Member of a Limited Liability Company, or any other individual who has been granted such authority in writing executed by an individual having authority to bind the entity. City reserves the right to require written verification of an individual’s authority to act on behalf of an entity.
NAME
TITLE E-MAIL
SIGNATURE
DATE
PRIMARY CONTACT • PLEASE PRINT
Complete if different from above.
NAME
TITLE E-MAIL
SIGNATURE
DATE
VENDOR DETAILS • PLEASE PRINT
VENDOR NAME
PHONE FAX
WEBSITE
MAILING ADDRESS
CITY / STATE / ZIP
PHYSICAL ADDRESS (NO PO BOXES)
CITY / STATE / ZIP
PLEASE ATTACH A CURRENT IRS FORM W-9.
mailto:sapurch@cosatx.us
Contact Information
File details come from the government source that posted it. Updated .